巻号一覧
25 巻, 1Supplement1 号
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荒川 栄一, 高坂 知節1979 年 25 巻 1Supplement1 号 p. 143-145
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーPDF形式でダウンロード (230K) -
学童の集団検診結果から沖津 卓二, 金子 豊, 湯浅 涼, 佐久間 真弓, 柴原 義博1979 年 25 巻 1Supplement1 号 p. 147-151
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーThe middle ear function has been studied periodically monitored by means of an impedance meter in four elementary school classes, approximately 157 children, over a period of two years.
The children (16.7%) showing pathological tympanograms in the first year significantly decreased from the last semester of the second year, and the cases of secretory otitis media also decreased from the beginning of the third year. It is thought that these two phenomena were caused by the effects of treatment and of aging. Furthermore, from the clinical observations, it seems that secretory otitis media might be due to upper respiratory tract infection.抄録全体を表示PDF形式でダウンロード (547K) -
滲出性中耳炎外来・経過報告古和田 勲, 小林 信一, 小野寺 亮, 佐久間 真弓, 六郷 正暁1979 年 25 巻 1Supplement1 号 p. 153-157
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーIn six years (1968-1974), 378 children (age 3-7 yrs.) with secretory otitis media were treated in our department by tympanostomy tube at least twice. In the follow-up study ranging from 3 to 9 years, 199 of the 378 patients replied to questionnaires sent in 1978, when special attention was devoted to the complications produced by chronic secretory otitis media and tympanostomy tube therapy, and to hearing losses. The 199 patients (295 ears) reported no complaints in 253 ears and various problems in 42 ears. The number of patients with complaints showed a tendency to decline when the patients attained the age of 9 or 11 years. Follow-up, examinations of 100 ears including 34 ears with com-plaints revealed: 34 cases had complications, i. e., permanent perforation 4 (3 surgical cases), blue ear drum 4 continuing, adhesive 7, glue ear 15 continuing, acute otitis media 3, and attic cholesteatom 1 case. Thirty four other cases were improving, but had slight complications, i. e., pocket formation 7, atrophic scar 15 and thic scar 12 cases. Secretory otitis media was found to have healed completely in 32 cases.抄録全体を表示PDF形式でダウンロード (572K) -
7年間の手術例について伊勢 郁夫, 橋本 省, 富岡 幸子, 佐藤 良樹, 新川 秀一, 綿貫 幸三, 高坂 知節1979 年 25 巻 1Supplement1 号 p. 159-167
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーTympanoplasty was performed on 138 patients (149 ears) during the period from 1971-1978, and long-term results were investigated in 68 patients (73 ears).
Postoperative results assessed in the range of 500-2000 cps using pure-tone audiogram revealed hearing improvements in 41 ears (56%), no changes in 18 (25%) and aggravations in 14 (19%). The conditions of the tympanic membrane and the external auditory canal were determined to be adquate in 31 ears (42%). In the remaining 42 ears (58%) various pathological finding, namely, retraction of the tympanic membrane and deffect of the superior or posterior-superior portion on the external auditory canal, were present. Similar findings were also observed in some cases with improved hearing.
It is considered that the above mentioned pathological findings are important factors causing the present symptoms, such as, hearing impairment, vertigo, tinnitus, aural discharge, headaches, etc.抄録全体を表示PDF形式でダウンロード (1158K) -
和田 淳, 大山 健二, 沖津 卓二, 伊藤 和也, 飯野 ゆき子, 三好 彰1979 年 25 巻 1Supplement1 号 p. 169-173
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーFifty-six cases (56 ears) with sudden hearing loss were experienced in our department during the period, 1972-1978. The review of the 56 cases revealed no significant differences among the patients treated with various therapeutical methods, such as, steroid, vasodilation, etc. Spontaneous recovery occurred in four cases. Patients receiving early treatment, within about a week, generally showed a greater tendency of improvement. However the most important factor influencing the prognosis is thought to depend on the severity of the hearing loss.抄録全体を表示PDF形式でダウンロード (445K) -
ハント症候群30例の検討を中心として小林 俊光, 草刈 潤, 上野 陽之助, 六郷 正暁, 富岡 幸子1979 年 25 巻 1Supplement1 号 p. 175-179
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーA statistical analysis was perfomed in 128 cases of the facial palsy experienced in our clinic from Jan. 1975 to Dec. 1978. Sixty-four (50%) cases were diagnosed as Bell's palsy and 30 cases (23%) as Hunt syndrome.
The incidence of Hunt syndrome in our cases was 2-11 times higher than those reported by other authors. Of our 30 cases of Hunt's syndrome, 28 had vesicular rashes (auricle: 26, face: 4, upper arm: 1). While the appearance of Zoster eruption preceded facial palsy in a larger number of cases (12/ 23), facial palsy preceded in 7 cases and a simultaneous appearance was observed in 4 cases.
In the idiopathic facial palsy group, 3 cases experienced recurrences, and 5 cases revealed abnormalities in equilibrium tests.
The problems of differential diagnosis between Bell's palsy and Hunt syndrome are discussed.抄録全体を表示PDF形式でダウンロード (598K) -
新川 秀一, 綿貫 幸三, 伊勢 郁夫, 佐藤 良樹, 富岡 幸子, 橋本 省, 高坂 知節1979 年 25 巻 1Supplement1 号 p. 181-186
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーA series of 78 hospitalized patients suffering from severe epistaxis has been analyzed statistically. These 78 patients accounted for 2.9% of our total hospitalized patients between the years 1972-1978. In our series the incidence was higher in the middle and older age groups than the younger. Males accounted for 69.2% and females 30.2%, and there were three cases of recurrence and four cases with past histories of epistaxis. The bleeding point was observed in Little's area in 17.4% of the cases but was unidentifiable in 51%. Although hypertension was the most frequent complication, no correlation was seen between diastolic pressure and the days requiring hemostsis. Approximately 60% of the cases were treated with Bellocq's tamponade and epistaxis balloon due to severe bleeding. Ligation of the external carotid artery was required in 6% of the cases. The highest incidences were registered in the first five months of the year excluding April, and the lotest during the summer months.抄録全体を表示PDF形式でダウンロード (607K) -
郭 安雄, 伊藤 和也, 西條 茂, 佐藤 雅弘, 新川 秀一, 柴原 義博, 高坂 知節1979 年 25 巻 1Supplement1 号 p. 187-197
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーThe 968 cases of allergic rhinitis experienced in our nasal allergy clinic between 1972-1978 were analyzed by a computer system to evaluate the effectiveness of immunotherapy.
No significant difference in the sex ratio existed in the cases as a whole, but according to age it varied greatly. Approximately 43% of the male reported onset of symptoms prior to the age of 10, and thereafter decreased progressively year by year. On the other hand, 30% of the females com-plained of initial symptoms in the third decade. In middle-aged patients rhinitis was more prevelent in the females.
After a three-month-course of immunotherapy (hyposensitization) with house dust extract, an average of 85.3% of the patients receiving the injections at regular intervals have shown good improvement of symptoms. However, the efficacy of immunotherapy showed no significant differences between the groups of hyposensitization by using extracts of multiple allergens and those using a single allergen.抄録全体を表示PDF形式でダウンロード (1124K) -
高坂 知節, 佐藤 雅弘, 西條 茂, 郭 安雄, 柴原 義博1979 年 25 巻 1Supplement1 号 p. 199-204
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーEighty-four cases of the para-nasal sinusitis were studied statistically, and the mucous membranes of 28 cases were examined under an electron microscope. The age group with the highest incidence was 15-24 years, although more than half of the patients were older than 40 years of age. The nasal plyposis and empyema in the antrum were noteworthy findings in approximately half of the patients.
Ultrastructural changes of the mucosa were not marked in the cases with a good antral ventilation, whereas a remarkable decrease of the ciliated cells was observed in the mucous membranes from the poorly ventilated antrums.抄録全体を表示PDF形式でダウンロード (4650K) -
佐藤 雅弘, 小野寺 亮, 西條 茂, 郭 安雄, 柴原 義博, 高坂 知節1979 年 25 巻 1Supplement1 号 p. 205-218
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーOne hundred and eight cases of the postoperative maxillary cysts experienced at Tohoku University Hospital from 1972 to 1978 are reviewed.
The following result were obtained: 1) Male to female ratio was 1: 1.4, this result was not in agreement with those in other reports. 2) Fifty-three cysts were found in the right sinus, and 47 in the left. Bilateral cysts were noticed in the 8 cases. 3) The average age of the patient undergoing initial Caldwell-Luc operation was 20.4 years. The first clinical signs of the cyst formation was noticed about 21.4 years on the average after the operation. 4) The presence of the epithelium was confirmed in the 34 cases observed by the S. E. M. The complete loss of the ciliated cells was observed in 6 out of the 34 cases.
Further ultrastructual observations under T. E. M. are also discussed in this paper.抄録全体を表示PDF形式でダウンロード (22344K) -
古和田 勲, 小野寺 亮, 小林 信一, 佐久間 真弓1979 年 25 巻 1Supplement1 号 p. 219-229
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーIn six years (1972-1977), fourty-four cases of frontal mucoceles were observed clinically and pathologically, in our clinic. The 44 cases were classified into 4 groups, according to the location of the mucocele, 1) frontal type, 4 cases, 2) front-ethmoidal type, 31 cases 3) ethmoidal type, 7cases and 4) combined type, 2 cases. Ophthalmological symptoms and signs were found 70% of the cases. Pathological finding in the nose and parasinuses on the side of the mucoceles were seen in the majority of the cases.
Nineteen of the 44 cases had previously undergone sinultaneous antrostomy and ethmoidectomy, and the frontal, front-ethamoidal and ethmoidal types complained of initial mucoceles symptoms 3.5, 12.0, 8.5 years on the average, respectively, after antrostomy and ethmoidectomy.
The average age at the onset of symptoms in these cases was 45.9 years. On the other hand, in the cases without prior surgery the average age was 55.3 years.
Operations were performed in 42 of the 44 cases, and orbital bone destruction was found in all operated cases including two with posterior wall destruction.
Surface observation by S. E. M. in 12 cases revealed that although the pseudostratified ciliated epitherium had undergone various changes, the main characteristic of mucoceles was the decrease of ciliated cells and the increase of non-ciliated cells.
In this disease, the epithelium has a tendency to develop into a simple squamous epithelium.抄録全体を表示PDF形式でダウンロード (10278K) -
伊藤 和也, 沖津 卓二, 飯野 ゆき子, 和田 淳, 大山 健二, 三好 彰1979 年 25 巻 1Supplement1 号 p. 231-234
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーThe cases of nasal bone fracture treated during the period 1972-1978, consisted of 39 patients (38 males and 1 female) with a mean age of 21.7 years. Automobile accidents, sports injury, struggles and unexpected collision were found to be the most common causes. The symptoms were external nasal deformity, nasal bleeding, nasal obstruction and swelling of the dorsal nose. In roentgen examinations, the lateral view revealed fractures in 45.2% of the cases, and the Waters' view revealed fractures in 85.7% of the cases. Most of these cases were treated with closed reduction.抄録全体を表示PDF形式でダウンロード (2214K) -
特に5FU単独及びBUdR・5FU混合動注三者併用療法の比較検討高坂 知節, 西條 茂, 郭 安雄, 佐藤 雅弘, 柴原 義博1979 年 25 巻 1Supplement1 号 p. 235-246
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーOne hundred and sixteen cases of the maxillary carcinoma have been treated in Tohoku Univer-sity Hospital from 1972 to 1978. There were 83 males and 33 females (5 to 2 ratio) patients. The majority of our patients, 75.9%, were in the sixth, seventh and eighth decades of life. The following multiple approaches were used in an effort to evaluate the best method of treatment.
Group A... I-A infusion chemotherapy (5FU) irradiation necrotomy +maxillectomy...37cases
Group B...I-A infusion chemotherapy (BUaR+5FU) irradiation necrotomy +maxillectomy...39cases
Group C...maxillectomy+post-op irradiation with or without chemotherapy...21cases
Group D... miscellaneous...19cases
The five years relative survival rates and two years local control rates of each group are shown in the following table, and no significant difference was found among them.
On the other hand, the obvious difference of the relative survival rates was found in the two groups which were classified by the Shimozato's criteria. The 33 cases of Type I & II group revealed 26.0 & plusmn;15.6% relative survival rate, whereas 37 cases of Type III & IV group showed 80.3 & plusmn;15.2%. This results seem to indicate that the best treatment for maxillary carcinoma is to obtain complete degenerations of the cancer cells by the end of the primary combined therapy, prior to maxillectomy.抄録全体を表示PDF形式でダウンロード (1464K) -
飯野 ゆき子, 沖津 卓二, 草刈 潤, 伊藤 和也, 和田 淳, 三好 彰, 大山 健二1979 年 25 巻 1Supplement1 号 p. 247-251
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーTen cases of ranula treated by the marsupialization technique are described in detail together with a discussion on pathogenesis and various other treatments of this disease. No recurrence has been found in our eight cases, while two cases including a plunging type experienced recurrence. Since this technique is relatively easy and places less burden on the patient, we recommend the use of the marsupialization technique as the first choice for the treatment of ranula.抄録全体を表示PDF形式でダウンロード (5410K) -
小林 信一, 古和田 勲, 小野寺 亮, 佐久間 真弓1979 年 25 巻 1Supplement1 号 p. 253-257
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーThirty-eight cases of sialothiasis were treated in our department during the six years from 1972 to 1978. Salivary calculi are generally known to occur most frequently in the submaxillary gland or duct, and less often in the parotid gland. We experienced 34 cases of the submaxillary gland and four of the parotid gland. There were no cases of the sublingual gland. Diagnosis can be formed from the patient's past history, by clinical examinations and by roentogenography.
The results of our present study are in close agreement with those of other available reports.抄録全体を表示PDF形式でダウンロード (3923K) -
佐久間 真弓, 古和田 勲, 草刈 潤, 若狭 治毅1979 年 25 巻 1Supplement1 号 p. 259-264
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーSeventy-eight cases of major salivary gland tumors experienced in our department between 1972 and 1978 were reviewed and histopathologically analysed. Of the 78 cases, 60 cases were parotid gland tumor cases with a malignant-benign tumor ratio of 1: 1.6. The remaining 18 cases were tumors of the submaxillary gland origin consisting of equal numbers of malignant and benign cases.
The most interesting feature in the present histopathological studies is the morphological similarity between pleomorphic adenoma with cribriform pattern and adenoid cystic carcinoma, and the presence of cases in which the portions of the specimen represented both types of tumor respectively. Although further studies are necessary, this finding strongly suggests the transition from pleomorphic adenoma to adenoid cystic carcinoma.抄録全体を表示PDF形式でダウンロード (8151K) -
綿貫 幸三, 伊勢 郁夫, 新川 秀一, 富岡 幸子, 橋本 省, 高坂 知節1979 年 25 巻 1Supplement1 号 p. 265-270
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーFive cases of adenoid cystic carcinoma of the epipharynx were treated in Tohoku University Hospital during the period between 1971 and 1978. The age of the patients ranged from 39 to 65 years. The site of the origin was lateral wall of the epitharynx including the Rosenmueller fossa and the orifice bank of the Eustachian tube in all 5 cases.
At the time of diagnosis, cranial nerve signs were detected in 2 out of 5 cases, while cervical metastasis was observed in no case.
The method of treatment was local excision, local exision followed by radiotherapy, radiotherapy with cytostatic drug therapy or radiotherapy only.
Tumor recurrence appeared in 4 cases from 7 months to about four years after the end of the initial treatment.
In one case, recurrence was detected 3 times after each local excision and the patient succumbed to the final recurrence. The one case without recurrence is presently undergoing initial therapy.
The characteristic features of adenoid cystic carcinoma are slow growth, tendency to invade nerves, extensive local infiltration which makes high freguency of recurrence after surgical excision, medium radio-resistency, reluctant tendency of metastasis to regional lymph nodes, tendency to multiple recurrences and distant metastasis at the late stage of the disease.
In 4 cases, hematogenic lung metastasis was noted at the late stage of the disease and the survival duration was from 2 years and 8 months to 5 years. The average was 3 years and 9 months.
This duration is half as short as that of adenoid cystic carcinoma of the other head and neck regions. The prognosis of adenoid cystic carcinoma would, therefore, be worse in the epipharynx than in the other head and neck regions.抄録全体を表示PDF形式でダウンロード (792K) -
綿貫 幸三, 伊勢 郁夫, 佐藤 良樹, 新川 秀一, 富岡 幸子, 橋本 省, 高坂 知節1979 年 25 巻 1Supplement1 号 p. 271-275
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーFive cases of juvenile nasopharyngeal angiofibroma were treated in our clinic between 1972 and 1978. In accordance with the recent general tendency, surgical removal of the tumor was performed in our five cases. In two cases treated with cryosurgery, there were no recurrences of the tumors. On the other hand, in two of the remaining three cases recurrence was observed. Cryosurgery seems to have three advantages ; a reduction of blood loss, a good control for the total removal of the tumor, and a possible eradication of a recidual tumor during surgery.抄録全体を表示PDF形式でダウンロード (737K) -
綿貫 幸三, 伊勢 郁夫, 佐藤 良樹, 新川 秀一, 富岡 幸子, 橋本 省, 荒川 栄一, 高坂 知節1979 年 25 巻 1Supplement1 号 p. 277-283
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーTwenqy six patients of malignant neoplasm of the of the nasopharynx from 1971 to 1978 were statistically analyzed and the following results were obtained:
1) The 26 cases consisted of 21 (80.7%) carcinoma and 5 (19.2%) lymphoma.
2) The overall sex ratio, male to female, was 1.8. 1.0, while carzinoma was 2.5: 1.0, and malignant lymphoma was 1.0: 1.5.
3) The age of the patients were agmost equally distributed in the 5th, 6th and 7th decades.
4) The initial symptom: Firstly nasal obstruction, secondly palpable nodes in the lateral neck, and thirdly nasal bleeding or obstructive sensation of the ear. Palpable nodes of the neck is the first symptom in carzinoma, while nasal obstruction is the one in malignant lymphoma.
5) The time between the first symptom and the hospital visit is from within one month to within 4 years with the average 13.8 months.
6) The incidence of any cranial nerve involvement was 15.6% in all the tumors. No paralysis was found in the case of malignant lymphoma.
7) The three year survival rates were 43.6%, 39.8% and 55.6% in all the tumors, in carwinoma and in maligant lymphoma respectively.
8) The three year survival rate in male and female: Carzinoma: male 34.5%, female 47.6%. Malignant lymphoma; 50% and 60%.
9) Three year survival rate in the difference of age and the time between the initial symptom and the hospital visit showed no specific correlations with each other respectively.
10) TNM classification revealed also no specific correlations with 3 year survival rate.抄録全体を表示PDF形式でダウンロード (744K) -
当教室過去6年間の遠隔成績柴原 義博, 佐藤 雅弘, 郭 安雄, 西條 茂, 綿貫 幸三, 高坂 知節1979 年 25 巻 1Supplement1 号 p. 285-291
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーQuestionnaires were sent to 242 patients who underwent tonsillectomy from 1972 to 1978, and 129 patients (53.3%) responded. The results were as follows;
1. The improvement rate of subjective symptoms ranged from 77.5% to 89.9% with the mean 84.9%.
2. Several subjective symptoms were ameliorated within one year in the majority of patients.
3. Approximately half of the post-tonsillectomy patients still complain of nasal symptoms when they suffer from common colds.
4. Eighty-three patients were completely satisfied with their postoperative conditions.
5. The improvement rates of serous otitis media, nephritis, and asthma were quite satisfactory.抄録全体を表示PDF形式でダウンロード (710K) -
口蓋扁桃・アデノイドの肥大によりうっ血性心不全をきたした症例に関連して柴原 義博, 佐藤 雅弘, 郭 安雄, 西條 茂, 綿貫 幸三, 高坂 知節1979 年 25 巻 1Supplement1 号 p. 293-296
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーQuestionnaires were sent to 188 pediatricians with the purpose of obtaining the opinions of pediatricians on tonsillectomy and adenoidectomy, and 86 responses were obtained. On the questionnaire, particular emphasis was place on the problems on congestive heart failure due to upper airway obstruction and on the evaluation of tonsillectomy and adenoidectomy.
Six pediatricians reported experiencing patients with congestive heart failure caused by hypertrophied tonsils and adenoids. Fifty-three had patients suffering from dyspnea and stridor at night, and 37 of the doctors attributed these symptoms to upper airway obstruction. Twenty-six pediatricians considered tonsillectomy as an effective therapy especially for patients with nephritis. Approximately half of the pediatricians expressed a cautious attitude toward tonsillectomy, and wished to discuss the advantages and disadvantages with ENT specialists.抄録全体を表示PDF形式でダウンロード (417K) -
富岡 幸子, 綿貫 幸三, 伊勢 郁夫, 佐藤 良樹, 新川 秀一, 荒川 栄一, 橋本 省, 高坂 知節1979 年 25 巻 1Supplement1 号 p. 297-304
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーClinical investigation were performed on 153 cases of laryngeal polyp operated upon in our department from 1972 to 1978.
Postoperative follow-up study revealed that only about half of the patients were able to regain their phonetic activities. The causes for the restriction are discussed from various clinical aspects.抄録全体を表示PDF形式でダウンロード (865K) -
草刈 潤, 上野 陽之助, 小林 俊光, 六郷 正暁, Mayumi SAKUMA1979 年 25 巻 1Supplement1 号 p. 305-312
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーOne hundred and sixty-five patients with laryngeal carcinoma treated in our department from 1972 to 1978 were reviewed and the results were analysed. Out of 165 patients, the glottic type was 107, the supraglottic 56 and the subglottic only 2. The male to female ratio was 6.5: 1.0. The incidence rates according to age revealed a peak in the seventh decade, followed by the sixth and eighth decades. The five year survival rate was 81.8% (Stage I 90.0%, II 84.6%, III 87.1%, IV 46.7%) in the glottic type and 52.1% (Stage I 73.3%, II 80.0%, 11151.9%, IV 26.2%) in the supraglottic type.抄録全体を表示PDF形式でダウンロード (920K) -
西條 茂, 郭 安雄, 佐藤 雅弘, 柴原 義博, 高坂 知節1979 年 25 巻 1Supplement1 号 p. 313-317
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーFrom 1972 to 1977, 84 cases of foreign bodies in the esophagus have been treated in our clinic. The statistical results were as follows:
(1) The mean incidence of foreign bodies in the esophagus was 14 cases in each year.
(2) Of the 84 cases, male predominance was 5 to 3, and 48 cases (57%) were under 6 years of age. The youngest patient was 7 months old and the oldest was 84 years old.
(3) Thirty three cases involving coins, occurred only in the children, particularly between the age of 1 to 7 years.
(4) The dental prosthesis were removed from 18 patients. This incidence seems to be more frequent than those experienecd from 1962 to 1972.
(5) Approximately half of the foreign bodies were lodged at the entrance of esophagus.
(6) The Robert's esophagoscope was usually used for the removal, and 73 cases were treated under general anesthesia.
(7) All foreign bodies were safely removed by the first or second trial, and no severe complications were noticed as far as the present 84 cases were concern.
The paper also discusses the technical problems of removal of the prosthesis and P. T. P.(Press Through Pack) of medicinal package.抄録全体を表示PDF形式でダウンロード (536K) -
西條 茂, 郭 安雄, 佐藤 雅弘, 柴原 義博, 高坂 知節1979 年 25 巻 1Supplement1 号 p. 319-322
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーDuring the period of 1972 to 1977, 59 cases of foreign bodies in the tracheobronchial tree were treated in our clinic using the ventilation bronchoscope under general anesthesia, and good results were obtained.
Of the 59 cases, male predominance was 2 to 1, and 45 cases were under three years of age. The youngest patient was 6 months old and the oldest was 69 years old.
Although, various types of foreign bodies were removed, approximately half of the cases involved peanuts.
Generally, the right bronchus was obstructed more frequently than the left. However, in children under six years of age, this tendency was inverted especially in 37 cases involving peanuts. The probable reasons for this difference are discussed in detail in the text.
Fifty eight cases were treated successfully by the first or second trial of removal. Only one case was treated by thoracotomy, because the foreign body (a small plastic bullet) was lodged too peripheral (B9) to remove with the 0.4×20 Jackson's bronchoscope.抄録全体を表示PDF形式でダウンロード (422K) -
草刈 潤, 上野 陽之助, 小林 俊光, 六郷 正暁, 桜井 時雄1979 年 25 巻 1Supplement1 号 p. 323-328
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーReconstructive surgery using D-P flap was performed in 29 patients who had previously undergone a wide resection of the tumor in the head and neck, namely the reconstruction of the oral cavity in 14 cases, that of the hypopharynx and cervical esophagus in 11 cases and the replacement of the resected skin in 4 cases. The reconstruction was impossible in 6 other cases because of the loss of the skin fiap. Possible causes of this complication are discussed in the light of available literature. It is authors' opinion that the wide excision followed by the repair with D-P flap is presently the best method for the treatment of the head and neck tumor in the advanced stage.抄録全体を表示PDF形式でダウンロード (755K) -
綿貫 幸三, 伊勢 郁夫, 佐藤 良樹, 新川 秀一, 富岡 幸子, 橋本 省, 荒川 栄一, 高坂 知節1979 年 25 巻 1Supplement1 号 p. 329-339
発行日: 1979/03/31
公開日: 2013/05/10
ジャーナル フリーThere is no need to stress the importance of pathological autopsy to clarify the diagnosis and to evaluate clinical treatments.
Pathological findings from 61 (50%) cases of the 122 deaths during the period between 1972 and 1978 were studied and summarized in terms of educational discussion. The deaths were attributed to malignant neoplasms in 58 cases, Wegener's granulomatosis in two and aplastic anemia in one.
The results of autopsies are discussed in detail with special attention to the preliminary diagnosis, verification and the direct causes of death.抄録全体を表示PDF形式でダウンロード (1387K)
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